Class I
,
Increased overjet
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

IPR
,
Elastics: Class II
Courtesy of Dr R. Bordin, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 28 months

Number of aligners

  • Maxillary: 41 + 13 = 54
  • Mandibulary: 41 + 19 = 60

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Other Clear
  • Mandibular: Other Clear

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Overjet improved
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • Harmonic arches were achieved

Comments

  • I think we only achived the satisfactory result (me and the client), because mainly of the extense use of Class II elastics, that helped not loosing any of the spaces created only by IPRs, without expanding arches (It was decided that her face is slim and already shows a lot of her teeth buccally). So by using elastics all the time, we managed to reduce the overjet,upper incisors proclination, helped not loosing anchorage and helped to solve the crowding without any proclination of lower incisors.The client wore religiously Class II elastics throughout the whole treatment, from start to end.The midline was not improved a lot, although it was defined in the additional aligners´ clincheck to make them less assymetric. In the additional aligners I tried to make them more coincident and improve also minor rotations left, and also to improve the levelling of the inferior arch. The levelling and rotations improved, but the midline didn´t a lot. But the client didn´t care since from the beginning about the lack of coincidence of the midline. It was not a initial goal of treatment.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

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Smartforce features

  • Power Ridge Feature on Buccal 4.2 (LR2), Buccal 3.2 (LL2)
  • Optimized Rotation Attachment (G3) on Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1), Buccal 3.4 (LL4)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1), Lingual 2.2 (UL2), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1)
Download ADF files:
Initial
Additional Aligners